600 54TH ST SW D 2025-01-28 - Laserfiche WebLink

BUILDING PERMIT APPLICATI..1+I D ECE OWE CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS:See EVERETT ��pp applicable submittal checklist for submittal requiremen a nurrrt'l�rtbf cties2red for )ew, WASHINGTON then drop off completed application plus all required submittal documents to 32 edar Street 2nd Floor Intake Dr ox. CONTACT INFORMATION:(P)425-257-8810 i(E)PermitServices@everettwa.gov ia prett,a.gov/perm4.. 1-• (Blue or Black Ink Only Please) PROJECT SITE INFORMATION i°', ILL w; : vice PROJECT SITE ADDRESS: STREET 600 54th St SW Unit D PARCEL#: 0043680000440 cm Everett STATE WA ZIP 98203 SUITE/UNIT#: D FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Clustered Subdivision Lot No.: 4 ,(attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Cornerstone Homes NW, LLC OWNER MAILING ADDRESS: STREET 13805 Smokey Point BLVD Suite 101 are Marysville STATE Washington zip 98271 OWNER PHONE:360-659-9444 OWNER EMAIL: anthony@cornerstonehomes.com CONTRACTOR COMPANY NAME:Cornerstone Homes NW, LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):CORNEHE9470A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 65610 CONTRACTOR ADDRESS: STREET 13805 Smokey Point BLVD Suite 101 me Marysville STATE Washington ZIP 98271 CONTRACTOR PHONE:360-659-9444 CONTRACTOR EMAIL:anthony@cornerstonehomes.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-659-9444 Anthony Hite CONTACT EMAIL:anthony@cornerstonehomes.com BUILDING INFORMATION ++ ,, aal0 O VALUATION OF WORK:$37�;��4.00 `�\�� ASSOCIATED LAND USE PROJECT#(if applicable): � 0,4� (Valuation shall include the prey" "fair market value of all labor,mat\rials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: C `0y-0 10 PROPOSED USE OF BUILDING:SFR HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ©New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Building an SFR Elevation:B Garage:Left Plan:New Basic Plan ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Anthony Hite Dately signed by Anthony Hite a12023.04030759:17 0700' 4/3/2023 PERMIT# a 3 o(-( -067 Owner/Authorized Agent Signature Date (Revised 4/21/2022)